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TOOTH
PREPARATION
Contents
•Introduction
•Objectives of tooth preparation
•Principles of tooth preparation
•Biologic :
•Mechanical :
•Esthetics :
•Summary
•References
Introduction
What is tooth preparation?
The process of removal of diseased and/or healthy enamel and
dentinMechanical
and cementum to shape
treatment a toothdisease
of dental to receive a restoration
or injury to hard
tissues that restore a tooth to original form
OBJECTIVES OF TOOTH
PREPARATION…….
TYLMAN
Reduction of a tooth in miniature to provide
retainer support.
form.
crown contours.
The principles given by ……..SHILLINBERG
3. Structural durability
4. Marginal integrity
1.Adjacent Teeth
-damaged tooth even if reshaped and recontoured is
always more susceptible to caries
Extreme temp
Chemical irritation—Irreversible pulpitis
Microorganism
• Temperature change in pulp during complete crown
preparation
P.D.Laforgia
J Prosthet dent 1991;65:56
• Avoided by:
•Bacterial Action
-Due to bacteria left behind after preparation or having
gained access to dentin due to microleakage.
Conservative margin
Considérations Affecting Future
Dental Health
• CAUSE • EFFECT
C B
Margin Adaptation –
Recurrent caries – dissolution of cement
Accurate adaptation
Irregular or stepped junctions
D B
• Bader et al., in 1991, studied the effect of crown
margins on periodontal conditions of patients
receiving regular care.
•Distinct boundary
•Bulk of material
•Conservation of tooth
ROSENSTEIL
Title
To Bevel… Or, Not to Bevel…
Resistance Form
Structural Durability
1. Retention Form:-
The quality of the restoration that prevents the restoration from
being dislodged by force parallel to the path of placement
called as retention form.
Retention Form :
12.8° mesiodistally
22.5° faciolingually on non-vital teeth.
J Prosthet Dent
1980:43;303
7Path of insertion
Imaginary line along which the restoration will be
placed.
Survey a preparation …..12 inches
….preparation to be surveyed in the mouth - ½ inch
above the preparation
For metal ceramic crowns, the path - parallel - long
axis of the teeth.
• So, base metal alloys are more reactive than the less
reactive high gold content metals.
J P D 2003;89:565-71
1. The mean retentive strength of crowns cemented with zinc
phosphate (3.7 Mpa) or conventional glass ionomer (3.6
Mpa) was
significantly lower than the mean retentive strength of
crowns
cemented with resin cements (6.5 Mpa).
Metal-ceramic restorations :
Facial tooth reduction :
Adequate reduction of the facial surface – Color
depth and translucency.
Minimum reduction of 1.5 mm
Incisal Reduction
incisal edge – no metal backing
- translucency – 2mm
reduction.
Proximal Reduction
extent is contingent on the
location of metal-ceramic
junction.
Proximal surface with no metal
Supragingival margin - Easier to keep clean
Subgingival margins - Indicated for esthetic reasons - when
the patient has a high lip line
Partial-coverage restorations :
Successful restoration:
Accurate diagnosis
Thoughtful Rx planning
Preparation design
References:
1. Johnston’s modern practice in fixed Prosthodontics .
2. Contemporary fixed Prosthodontics : Rosenstiel, Land
Fujimolo.
3. Fundamentals of fixed Prosthodontics : Shillingburg
4. Fundamentals of fixed prosthodontics : Tylman
5.Lee M.Jameson, Crown contours and gingival response
Prosthet Dent 1982;47:620
6.William G Reeves, Restorative margin placement and
periodontal health Prosthet Dent 1991;66:733
7.J.R.Gravelis,The effect of various finish line preparations on the
marginal seal and occlusal seat of full crown preparations
8.Donald A.Behrend,Ceramometal restorations with
supragingival margins Prosthet Dent 1982;48:4
9 . P.D. Temperature change in the pulp chamber during complete crown
preparation, J Prosthet Dent 1991;65:56
10.Charles J. Goodacre, Tooth preparations for complete crowns: An art form
based on scientific, J Prosthet Dent 2001;85:363-76.
11.Merle H. Parker, Evaluation of resistance form for prepared teeth Prosthet
Dent 1991;66:730
12.Periklis Proussafs,The effectiveness of auxillary features on a tooth
preparation with inadequate resistance form J Prosthet Dent 2004;91:33
13.John F. Bowley,Surface area improvement with grooves and boxes in
mandibular molar crown preparation Prosthet Dent 2007;98:436
14.Anthony H Tjan,Effect of preparation finish on retention and fit of
complete crowns,J Prosthet Dent,1986;56:283
15.Mohammed F.Ayad,Influence of tooth surface roughness and type of
cement on retention of complete cast crowns,J Prosthet
Dent,1997;77:116
1.